Date:  15 January 1956
Cert:  #56-1251
Place of Death: County: Knott     City or Town: Hindman - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Hindman    Street Address: Rural
Full Name:  Betty Jo CALHOUN
Date of Death:  15 January 1956
Sex, Color, Race, Marital Status: Female, White, Never Married
Date of Birth:  31 July 1955
Age: 05 months, 14 days
Usual Occupation:  (blank)
Kind of Industry or business: (blank)
Birthplace:  Perry Co., Ky.
Father's Name:  Russell CALHOUN
Mother's Maiden Name:  Ruth HAYS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Russell CALHOUN
Disease or condition directly leading to death:  Peritonitis of the bowels
Interval between onset and death:  (blank)
Due to:  Don't know
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 15 January 1956 to 15 January 1956, that I last saw the deceased alive on 15 January 1956, and that death occurred at 11 a.m., from the causes and on the date stated above.
Date signed:   19 January 1956
Address:  Hindman, Ky.
Signature:  M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date:   17 January 1956
Name of Cemetery or Crematory:  Green Gayheart
Location:  Hindman, Ky.
Date received by local registrar: 19 January 1956
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 25 March 2012